ZEWDU HAILE (MD) – Family Medicine Physician, NPI 1639150121

ZEWDU HAILE (MD) is a healthcare provider. based in Watseka, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036091812 (IL). The NPI Number for ZEWDU HAILE (MD) is 1639150121

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
ZEWDU HAILE (MD)
NPI
1639150121
Phone
(815) 432-5841
Address
200 E Fairman Ave
Enumeration Date
10 November 2005
Last Update Date
22 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2173372000
Graduation Year
1984 (42 years ago)
PAC ID
1850386418
Group Practice PAC ID
2567802556
Professional Enrollment ID
I20040415000051
Address ID
IL618012334UR1400XSTXX400

Contacts

Secure Messaging
zewdu.haile.1@15486.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

5,037 FAMILY PRACTICE in IL

Provider Addresses for ZEWDU HAILE (MD)

  • 200 E Fairman Ave

    Watseka, IL 609701644

    Phone: (815) 432-5841

    Type: Location

  • 135, North Oak Street, Hinsdale, DuPage County, Illinois, 60521, United States

    HINSDALE, IL 605213860

    Phone: (630) 856-8900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-02-14 • Largest payer in this snapshot: AngioDynamics, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
AngioDynamics, Inc.$19
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040415000051IFamily PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making232222$0
99284Emergency department visit with moderate level of medical decision making9391$0
99283Emergency department visit with low level of medical decision making2626$0
99212Established patient office or other outpatient visit, 10-19 minutes1616$0
99291Critical care, first 30-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 60970)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567802556View full group profile
NameSpecialtyState
Emergency MedicineMI
Nurse PractitionerIL
Emergency MedicineIL
Emergency MedicineMI
Emergency MedicineIL
Emergency MedicineMI
Nurse PractitionerIL
Family Practice, Emergency MedicineIL
Emergency MedicineMD
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is ZEWDU HAILE (MD)'s NPI number?
ZEWDU HAILE (MD)'s NPI is 1639150121 — the number used across U.S. healthcare to identify this provider.
Would ZEWDU HAILE (MD) appear as active to a payer?
You can treat ZEWDU HAILE (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for ZEWDU HAILE (MD)?
At a glance, ZEWDU HAILE (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is ZEWDU HAILE (MD) registered?
Use Watseka, Illinois as the headline location for ZEWDU HAILE (MD) here.
Can I trust this NPI listing for ZEWDU HAILE (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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